Skin allergy: Modelling the T cell response

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Skin allergy: Modelling the T cell response
Skin allergy: Modelling the T cell response
Michael Davies, Vicki Summerfield, Gavin Maxwell
  Unilever Safety and Environmental Assurance Centre

Carmen Molina-París, Grant Lythe, Ed Clark
  University of Leeds

European Congress of Immunology
Glasgow, 6th September 2012
Skin allergy: Modelling the T cell response
Human Health Risk Assessment for Skin Allergy

                         Exposure                                 Hazard

            Risk ?                        X
  Product

                                                  Historical         Non-animal       In Vivo

               • We risk assess to prevent skin allergy in consumers
                     • What risk does ingredient X at conc. Y in product Z pose to the consumer?

               • How can we risk assess without new animal test data?
                     1. Identify pathways driving human adverse response
                     2. Develop test methods to predict key toxicity pathways
                     3. Will response be adverse for given exposure scenario?
Identify the toxicity pathways driving the
human adverse response

                                                                                Lymph
                                                                                 Node

                 ?

                       Epidermis                                                                                Epidermis

                                       Induction                                               Elicitation

     1. Skin                                                                                           8-10. Allergic Contact
   Penetration                                                        7. Presentation of
                                                                                                       Dermatitis: Epidermal
                      3-4. Haptenation:         5-6. Activation     haptenated protein by
                                                                                                            inflammation
  2. Electrophilic         covalent              of epidermal       Dendritic cell resulting
                                                                                                       following re-exposure
    substance:          modification of        keratinocytes &          in activation &
                                                                                                       to substance due to T
   directly or via    epidermal proteins        Dendritic cells         proliferation of
                                                                                                         cell-mediated cell
  auto-oxidation                                                       specific T cells
                                                                                                                 death
  or metabolism
                         Key Event 1          Key Event 2 + 3            Key Event 4                     Adverse Outcome

  Modified version of flow diagram from ‘The Adverse Outcome Pathway for Skin Sensitisation initiated by Covalent Binding to
                                         Proteins’, OECD report (Draft: 14th Dec 2011)
Applied Dose  Total haptenated skin protein
‘T lymphocytes: Orchestrators of Skin Sensitisation’ workshop

• Immunologists, toxicologists &
  mathematical modellers – 2 day
  workshop in May 2010, London
• What are the characteristics of the T
  cell response that could reflect human                                Weaker allergen          Stronger allergen
  skin sensitiser potency?
   • Magnitude: What is the extent of
     sensitiser-induced T cell response

                                              Number of T lymphocytes
     (volume, kinetics & duration)?

   • Quality: Within sensitiser-induced T                                            Treg                      CD8+
     cell response, what is the balance
     between the T cell sub-populations?                                             CD8+                       Treg
   • Breadth: What proportion of the T cell
     clonal repertoire has been stimulated
     by a given sensitiser?

    Kimber et al, 2012, Toxicology 29118-24
                                                                                          Time
Current CD8+ model scope

• Current model scope is focussed on
                                              DLN   Blood   Skin
  modelling the magnitude of CD8+
  (effector, CTL) T cell response
                                              CD8
   • Include subsets of central memory,       N      CD8
                                                     N
     effector memory, naïve and cytotoxic
     T cells (CD8+ T cell populations only)
   • Only model T cell clones that are        CD8            CD8
     specific to antigen                      CTL    CD8     CTL
                                                     CTL

• Human sensitiser-specific T cell data
                                              CD8
  is not available:                           CM     CD8
                                                     CM
   • Make use of relevant literature data
   • Initiate new research to generate                       CD8
     sensitiser-specific data to test and            CD8     EM
                                                     EM
     improve model
Naïve and CM turnover
                                                   0.004 cells.d-1
• Naïve mean turnover rate of 0.00035 d-1
   • Half life of 5 years
• Thymic production accounts for 20% of
  production in 25 year old individual                                     0.00028 d-1
                                                                     CD8
• Assume background proliferation rate                                N
  contributes 80% to maintain homeostasis
                                                     0.00035 d-1

• CM mean turnover rate of 0.00277        d-1                              0.0025 d-1
                                                                     CD8
   • Half life of 0.7 years                                          CM
• Assume proliferation rate 90% of death
  rate to give population lasting decades
                                                      0.00277 d-1

                      Vrisekoop et al, 2008, PNAS 105 (16) 6115-6120;
                      Murray et al, 2003, Immunol. Cell Biol. 81 487-495
CD8
Proliferation rates with antigen                                         CTL

                                                       Yoon et al, 2010, PLOS One 5 (11) e15423
• After each exposure to antigen, 5 day
  period with increased proliferation and
  differentiation
• Programmed proliferation of cytotoxic
  T cells
• No human data for proliferation rates
• Proliferation rate of 1.8 d-1 in mice with

                                               CD69
  viral infection
                                                      CFSE

                      6 hrs                                                    12 hrs
Initial population size
• Unexposed individual
   • Zero antigen specific cytotoxic or memory CD8+ T cells at the start
• Number of naïve antigen specific CD8+ T cells in DLN, blood, (skin)
• Assume exposure to skin on the arm
     • 25 draining lymph nodes (DLN) in axilla out of 650 in total
• Assume single antigen, single TCR
     • One in 25 million naïve T cells are antigen specific
                               Whole of body
                                                                          72.5 bn
                                 All LNs                                   2900
    All TCRs                                    DLN               Blood               Skin
Ag specific (1 TCR)              19 bn
                                  760        0.73 bn            1.45 bn
                                                29                 58

Vrisekoop et al, 2008, PNAS 105 (16) 6115-6120; Westermann & Pabst, 1992, Clin. Investig. 70 539-544;
                                  Arstila et al, 1999, Science 286 958
Migration to lymph nodes

• Quantitative data from sheep: assume similar scale for humans
• 1 billion lymphocytes per day into / out of each lymph node
• 96 antigen specific naïve CD8+ T cells per day into / out of 25 DLNs
• Include effects of lymph node shutdown and increased influx

       Young, 1999, Seminars in Immunol. 11 73-83; Haig et al, 1999, Immunol. 96 155-163;
                         Seabrook et al, 2005, Immunol. 116 184-192
Current model predictions:
3 exposures at 2 week intervals

                                  DLN   Blood   Skin

                                  CD8
                                  N      CD8
                                         N

                                  CD8            CD8
                                  CTL    CD8     CTL
                                         CTL

                                  CD8
                                  CM     CD8
                                         CM

                                                 CD8
                                         CD8     EM
                                         EM
Effects of sensitive parameters
Next Steps

• Iterative refinement of model scope using relevant
  literature & experimental data
   • e.g what is the optimum T cell response
     parameter(s) to measure/predict?
   • wet-dry cycle approach

• Generate sensitiser-specific datasets to inform or
  benchmark model predictions
   • e.g. benchmarking the T cell response:
       • characterising induction of hapten-specific T cell
         responses in patients undergoing sensitiser
         treatment for defined clinical benefit
       • characterising ‘mature’ T cell response in
         individuals attending dermatology patch test clinics
         for diagnosis of existing allergic contact dermatitis
Thank You – Questions?

Acknowledgments:
Maja Aleksic, Richard Cubberley, Julia Fentem, Michael Hughes, Todd Gouin, Gaurav
Jain, Sandrine Jacquoilleot, Cameron MacKay, Gavin Maxwell, Craig Moore, Deborah
Parkin, Juliette Pickles, Fiona Reynolds, Ouarda Saib, David Sheffield, Vicki
Summerfield, Jeff Temblay, Carl Westmoreland & Sam Windebank
Modelling T cell response - Overview

T cell response
  parameters
                                                  1      • Develop a pragmatic
                                                         mathematical model
                                                         using pathogen-derived
                                                         literature data on the
                                                         antigen-specific CD8+ T
                                                         cell response
                                                                                           1 2 3
                                                         3 year study
1    magnitude                                  1 2 3
                                                                                      Clinical research to
                      3                                 • Develop mathematical        characterise:
                                                        models to explore to what     • induction of sensitiser-
                                                        extent magnitude, quality     specific T cell response
               CD8+                                     & breadth drive sensitiser-   in humans
                                                        induced T cell response
                      • 3 year study
                                                        • Establish the key metrics
                      • Characterise the
               Treg   ‘breath’ of human
                                                        for predicting adverse
                                                        sensitisation threshold
                      sensitiser-induced T
                                                        • Use in vitro & human        • sensitiser-specific T
                      cell response &
                                                        clinical data to inform       cell response in already
                      establish how ‘breadth’
 2   quality          impacts on magnitude
                                                        model predictions             sensitised individuals
                      &/or quality of T cell
                      response

 3   breadth
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